Billing & Coding: Acupuncture Common Billing Challenges

Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).

Are you looking for ways to minimize denied insurance claims?

The medical billing and coding process is complex, especially with the additional requirements for acupuncture billing.

Here are some ways your acupuncture practice can avoid common billing challenges.

Overusing acupuncture billing codes (billing an office visit each session or overusing codes 99205/99215)

Incorrect billing use for time (for insurance reimbursement 4 units of acupuncture requires 4 separate needle insertions)

Wrong coding for needles (97810 initial set, manual, 97811 additional set(s) manual or 97813 initial set, electrical, and 97814 additional set(s) electrical)

Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.

American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason acupuncturists have trusted AAC with their business for over 30 years.